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DECLARATION, AUTHORIZATION AND RELEASE FOR BACKGROUND

INFORMATION - APPLICANTS FOR EMPLOYMENT

I declare that, to the best of my knowledge, any information that I have provided in connection with my

application for employment is true, correct and complete and that any falsification or misrepresentationof information that I have provided (or any omission of relevant information) may result in the removal

of my application from consideration or, if it is discovered once I am employed, the termination of my

employment.

In order to research, verify and provide a report to ("Company") in relation toHewitt Associates, LLC

the information that I have provided in connection with my application for employment, the Company

will engage an outside agency, HireRight, Inc. (or its designee) ("HireRight"). The information

HireRight may verify and research may include my personal background, professional standing, work

history and qualifications. The Company and its representatives may also collect and verify background

information about me.

I understand that the pre-employment screening searches, to the extent applicable law allows, will be

conducted and information I provide will be researched and verified using any source deemed

appropriate, including but not limited to, the following: current and past employers, criminal conviction

records, motor vehicle or driving records, military records, school/educational records and professional

and personal references.

I authorize, without reservation, any individual, corporation or other private or public entity to provide

the Company and HireRight and their representatives all relevant information about me. I

unconditionally release and hold harmless the Company, HireRight, any individual, corporation or

private or public entity from any and all causes of action that I have or may have in relation to the

collection or provision of information pursuant to this authorization. I also understand and consent that

my personal information will be researched, verified and processed by HireRight and its representatives

in the United States and other countries, and will be maintained by HireRight on a server in the United

States. HireRight is self-certified under the United States-European Union Safe Harbor Framework, and

is committed to protecting the personal information that HireRight receives about individuals.

I agree to assist HireRight and the Company and their representatives in verifying and collecting this

information and to provide any additional information requested in connection with my application for

employment with the Company.

By using the unique login and password at the URL provided to me and by electronically submitting

this form, I intend and agree that it has the same effect as my written signature.

Unless I submit my revocation to the Company this Declaration, Authorization and Release, in original,

faxed or photocopied form, shall be valid for this and any future reports and updates that may be

requested.

Applicant Last Name Nayal First Mahender Middle Singh

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Electronic Signature

Email: mahendernayal007@gmail.com

IP Address: 10.85.226.129

Dated: 04 30, 2013: 23:14 Pacific Standard Time